MTMR2

gene
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Also known as KIAA1073

Summary

MTMR2 (myotubularin related protein 2, HGNC:7450) is a protein-coding gene on chromosome 11q21, encoding Phosphatidylinositol-3,5-bisphosphate 3-phosphatase MTMR2 (Q13614). Lipid phosphatase that specifically dephosphorylates the D-3 position of phosphatidylinositol 3-phosphate and phosphatidylinositol 3,5-bisphosphate, generating phosphatidylinositol and phosphatidylinositol 5-phosphate.

This gene is a member of the myotubularin family of phosphoinositide lipid phosphatases. The encoded protein possesses phosphatase activity towards phosphatidylinositol-3-phosphate and phosphatidylinositol-3,5-bisphosphate. Mutations in this gene are a cause of Charcot-Marie-Tooth disease type 4B, an autosomal recessive demyelinating neuropathy. Alternatively spliced transcript variants encoding multiple isoforms have been found for this gene.

Source: NCBI Gene 8898 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): demyelinating hereditary motor and sensory neuropathy (Definitive, ClinGen) — +1 more curated relationship
  • GWAS associations: 6
  • Clinical variants (ClinVar): 682 total — 34 pathogenic, 25 likely-pathogenic
  • Phenotypes (HPO): 13
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity unscored
  • MANE Select transcript: NM_016156

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:7450
Approved symbolMTMR2
Namemyotubularin related protein 2
Location11q21
Locus typegene with protein product
StatusApproved
AliasesKIAA1073
Ensembl geneENSG00000087053
Ensembl biotypeprotein_coding
OMIM603557
Entrez8898

Gene structure

Transcript identifiers

Ensembl transcripts: 60 — 37 protein_coding, 11 nonsense_mediated_decay, 10 retained_intron, 2 protein_coding_CDS_not_defined

ENST00000346299, ENST00000352297, ENST00000393223, ENST00000409459, ENST00000444541, ENST00000470011, ENST00000470293, ENST00000481642, ENST00000484818, ENST00000485988, ENST00000495134, ENST00000497683, ENST00000674528, ENST00000674610, ENST00000674901, ENST00000674924, ENST00000674950, ENST00000674968, ENST00000674974, ENST00000674989, ENST00000675022, ENST00000675024, ENST00000675030, ENST00000675034, ENST00000675174, ENST00000675196, ENST00000675237, ENST00000675288, ENST00000675320, ENST00000675362, ENST00000675413, ENST00000675438, ENST00000675454, ENST00000675477, ENST00000675489, ENST00000675495, ENST00000675636, ENST00000675652, ENST00000675660, ENST00000675767, ENST00000675807, ENST00000675848, ENST00000675896, ENST00000675910, ENST00000675922, ENST00000675933, ENST00000675957, ENST00000675981, ENST00000676027, ENST00000676146, ENST00000676166, ENST00000676177, ENST00000676261, ENST00000676268, ENST00000676272, ENST00000676378, ENST00000676388, ENST00000676393, ENST00000676432, ENST00000676440

RefSeq mRNA: 4 — MANE Select: NM_016156 NM_001243571, NM_016156, NM_201278, NM_201281

CCDS: CCDS8305, CCDS8306

Canonical transcript exons

ENST00000346299 — 15 exons

ExonStartEnd
ENSE000000002759583288095835451
ENSE000010992099583614895836324
ENSE000010992159583809495838207
ENSE000010992189584495395845159
ENSE000010992219584967495849862
ENSE000010992239584161795841709
ENSE000010992249585060095850749
ENSE000018947429592387595924107
ENSE000026883439584771495847899
ENSE000035290039585853195858632
ENSE000035418999586227295862366
ENSE000035937249585755295857635
ENSE000036265019586560195865676
ENSE000036296939586199295862102
ENSE000036909529588815695888261

Expression profiles

Bgee: expression breadth ubiquitous, 288 present calls, max score 97.61.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 21.0784 / max 162.8225, expressed in 1800 samples.

FANTOM5 promoters (10 alternative TSS)

Promoter IDTPM avgSamples expressed
1218849.87241755
1218828.97011694
1218831.2541905
1218770.327472
1218810.3218153
1218760.142652
1218850.085425
1218800.052131
1218780.040424
1218790.01204

Top tissues by expression

295 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
spermCL:000001997.61gold quality
parotid glandUBERON:000183196.79gold quality
male germ cellCL:000001595.98gold quality
cartilage tissueUBERON:000241894.24gold quality
tibiaUBERON:000097993.45gold quality
buccal mucosa cellCL:000233693.02gold quality
stromal cell of endometriumCL:000225591.97gold quality
calcaneal tendonUBERON:000370191.86gold quality
corpus callosumUBERON:000233691.65gold quality
tendonUBERON:000004391.56gold quality
choroid plexus epitheliumUBERON:000391191.51gold quality
bronchial epithelial cellCL:000232891.39gold quality
islet of LangerhansUBERON:000000690.76gold quality
cortical plateUBERON:000534390.65gold quality
C1 segment of cervical spinal cordUBERON:000646990.43gold quality
heart right ventricleUBERON:000208090.29gold quality
synovial jointUBERON:000221790.19gold quality
inferior vagus X ganglionUBERON:000536390.02gold quality
tendon of biceps brachiiUBERON:000818889.96gold quality
spinal cordUBERON:000224089.72gold quality
embryoUBERON:000092289.59gold quality
postcentral gyrusUBERON:000258189.35gold quality
epithelium of bronchusUBERON:000203189.23gold quality
medial globus pallidusUBERON:000247789.12gold quality
Brodmann (1909) area 46UBERON:000648389.09gold quality
ganglionic eminenceUBERON:000402389.07gold quality
saphenous veinUBERON:000731888.98gold quality
colonic mucosaUBERON:000031788.96gold quality
popliteal arteryUBERON:000225088.95gold quality
mucosa of paranasal sinusUBERON:000503088.93gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3yes5.44

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

108 targeting MTMR2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-6833-3P100.0070.633197
HSA-MIR-4768-5P100.0069.492861
HSA-MIR-9-5P100.0072.282361
HSA-MIR-5692A100.0074.406850
HSA-MIR-1277-5P100.0073.955056
HSA-MIR-5011-5P100.0083.465820
HSA-MIR-3163100.0077.238605
HSA-MIR-453199.9969.703181
HSA-MIR-569699.9872.364487
HSA-MIR-499A-5P99.9870.791323
HSA-LET-7F-2-3P99.9870.982588
HSA-MIR-1185-1-3P99.9871.042593
HSA-MIR-1185-2-3P99.9871.042593
HSA-MIR-60799.9773.625593
HSA-MIR-314899.9775.066478
HSA-MIR-6825-5P99.9669.813431
HSA-MIR-651-3P99.9473.485177
HSA-MIR-101-3P99.9475.032230
HSA-MIR-6508-5P99.9270.672465
HSA-MIR-311999.9271.342390
HSA-MIR-652-5P99.9167.49505
HSA-MIR-367199.9073.043897
HSA-MIR-806799.8669.592260
HSA-MIR-579-3P99.8671.663628
HSA-MIR-629-3P99.8567.991875
HSA-MIR-664B-3P99.8471.653590
HSA-MIR-548AC99.8470.774351
HSA-MIR-548H-3P99.8470.804349
HSA-MIR-548Z99.8470.804349
HSA-MIR-548AZ-5P99.8369.943230

Functional genomics

ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity Not yet evaluated (unscored). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 23)

  • MTMR2 shares similar phosphatase activity and substrate specificity than its homologous proteins MTM1 and MTMR3 (PMID:11846405)
  • A homozygous cytosine to thymine missense mutation at nucleotide position 847, resulting in an amino acid substitution of arginine to tryptophan at codon 283, was detected in exon 9 of the MTMR2 gene (PMID:12398840)
  • MTMR2 interacts with MTMR5 via its coiled-coil domain and that mutations in the coiled-coil domain of either MTMR2 or MTMR5 abrogate this interaction. (PMID:12668758)
  • REVIEW : MTMR2 belongs to the myotubularin family of phosphoinositides phosphatases (PMID:12925573)
  • crystal structure of MTMR2, a protein tyrosine phosphatase that is a member of the myotubularin-related protein family. (PMID:14690594)
  • Loss of MTMR13 (SBF2) function in Charcot-Marie-Tooth disease type 4B patients may lead to alterations in MTMR2 function and subsequent alterations in 3-phosphoinositide signaling. (PMID:15998640)
  • analysis of the molecular basis for this unique substrate specificity of human myotubularin-related protein-2 (MTMR2) in complex with phosphoinositides (PMID:16410353)
  • Loss of MTMR2, by decreasing Schwann cells proliferation and survival, may impair the first stages of myelination of the peripheral nervous system (PMID:17336078)
  • review of the role of MTMR2 and MTMR13 and their involvement in the biology of Schwann cell and CMT4B neuropathies (PMID:17880751)
  • REVIEW : MTMR2 and homologous proteins are mutated in several neuromuscular diseases (PMID:18429927)
  • A phylogenetic study revealing co-evolution of myotubularins with PI 3-kinase class III complex (PMID:18774718)
  • Mutations in LITAF, RAB7, LMNA, and MTMR2 genes are rare in Chinese Charcot-Marie-Tooth disease (CMT) patients. (PMID:20709679)
  • MTMR2 phosphorylation is likely to be a critical mechanism by which MTMR2 access to its lipid substrate(s) is temporally and spatially regulated, thereby contributing to the control of downstream endosome maturation events. (PMID:21372139)
  • Novel mutations in the PRX and the MTMR2 genes are responsible for unusual Charcot-Marie-Tooth disease phenotypes. (PMID:21741241)
  • these results reveal that MTMR2 compartmentalization and potential subsequent effects on endosome maturation and endosome signaling are dynamically regulated through MAPK-mediated differential phosphorylation events. (PMID:23378027)
  • we identified a novel mutation in MTMR2 in a family with CMT4B1 and myelin outfoldings (PMID:23781969)
  • The expression of the endogenous transcript is induced in a heterologous cell line by ectopically expressing SOX10, and is nearly ablated in Schwann cells by impairing SOX10 function. Intriguingly, overexpressing the two MTMR2 protein isoforms in HeLa cells revealed that both localize to nuclear puncta and the shorter isoform displays higher nuclear localization compared to the longer isoform (PMID:27466180)
  • report the case of a Charcot-Marie-Tooth type 4B1 patient with a novel mutation in the MTMR2 gene (nonsense mutation in exon 6c.484 C>T; p.Arg162*) who started to experience stridor and was diagnosed with bilateral vocal cord paralysis at the age of 18 months - case report and review (PMID:28190646)
  • Expression of several MTMR2 isoforms ameliorates the myopathic phenotype owing to MTM1 loss, with increased muscle force, reduced myofiber atrophy, and reduction of the intracellular disorganization hallmarks associated with myotubular myopathy. (PMID:28934386)
  • Our findings suggest that MTMR2 is an important promoter in gastric cancer (GC) invasion and metastasis by inactivating IFNgamma/STAT1 signaling and may act as a new prognostic indicator and a potential therapeutic target for GC. (PMID:31113461)
  • Novel MTMR2 mutation causing severe Charcot-Marie-Tooth type 4B1 disease: a case report. (PMID:32488727)
  • MTMR2 promotes the progression of NK/T cell lymphoma by targeting JAK1. (PMID:32767332)
  • An integrative analysis reveals the prognostic value and potential functions of MTMR2 in hepatocellular carcinoma. (PMID:37907649)

Cross-species orthologs

15 orthologs

OrganismSymbolGene ID
danio_reriomtmr2ENSDARG00000004616
mus_musculusMtmr2ENSMUSG00000031918
rattus_norvegicusMtmr2ENSRNOG00000005923
drosophila_melanogastermtmFBGN0025742
drosophila_melanogasterSbfFBGN0025802
drosophila_melanogasterMtmr6FBGN0028497
drosophila_melanogasterCG14411FBGN0030582
drosophila_melanogasterCG3632FBGN0030735
drosophila_melanogasterCG5026FBGN0035945
caenorhabditis_elegansmtm-1WBGENE00003475
caenorhabditis_elegansWBGENE00003476
caenorhabditis_elegansWBGENE00003477
caenorhabditis_elegansWBGENE00003478
caenorhabditis_elegansWBGENE00003479
caenorhabditis_elegansmtm-10WBGENE00021683

Paralogs (13): MTMR7 (ENSG00000003987), MTMR11 (ENSG00000014914), MTMR1 (ENSG00000063601), SBF1 (ENSG00000100241), MTMR3 (ENSG00000100330), MTMR8 (ENSG00000102043), MTMR9 (ENSG00000104643), MTMR4 (ENSG00000108389), SBF2 (ENSG00000133812), MTMR6 (ENSG00000139505), MTMR12 (ENSG00000150712), MTMR10 (ENSG00000166912), MTM1 (ENSG00000171100)

Protein

Protein identifiers

Phosphatidylinositol-3,5-bisphosphate 3-phosphatase MTMR2Q13614 (reviewed: Q13614)

Alternative names: Myotubularin-related protein 2, Phosphatidylinositol-3-phosphate phosphatase

All UniProt accessions (11): Q13614, A0A6Q8PF46, A0A6Q8PFL3, A0A6Q8PG25, A0A6Q8PGS5, A0A6Q8PGT1, A0A6Q8PGV9, A0A6Q8PHC4, A0A6Q8PHL9, A0A6Q8PHS7, C9JEX3

UniProt curated annotations — full annotation on UniProt →

Function. Lipid phosphatase that specifically dephosphorylates the D-3 position of phosphatidylinositol 3-phosphate and phosphatidylinositol 3,5-bisphosphate, generating phosphatidylinositol and phosphatidylinositol 5-phosphate. Regulates the level of these phosphoinositides critical for various biological processes including autophagy initiation and autophagosome maturation.

Subunit / interactions. Homodimer (via coiled-coil domain). Heterotetramer consisting of one MTMR2 dimer and one SBF2/MTMR13 dimer; specifically in peripheral nerves stabilizes SBF2/MTMR13 at the membranes and increases MTMR2 catalytic activity towards phosphatidylinositol 3,5-bisphosphate and to a lesser extent towards phosphatidylinositol 3-phosphate. Heterodimer with SBF1/MTMR5; acts as an adapter for the phosphatase MTMR2 to regulate MTMR2 catalytic activity and subcellular location. Heterodimer with MTMR12.

Subcellular location. Cytoplasm. Early endosome membrane. Perinuclear region. Cell projection. Axon. Endosome membrane.

Post-translational modifications. Phosphorylation at Ser-58 decreases MTMR2 localization to endocytic vesicular structures.

Disease relevance. Charcot-Marie-Tooth disease, demyelinating, type 4B1 (CMT4B1) [MIM:601382] A recessive demyelinating form of Charcot-Marie-Tooth disease, a disorder of the peripheral nervous system, characterized by progressive weakness and atrophy, initially of the peroneal muscles and later of the distal muscles of the arms. Charcot-Marie-Tooth disease is classified in two main groups on the basis of electrophysiologic properties and histopathology: primary peripheral demyelinating neuropathies (designated CMT1 when they are dominantly inherited) and primary peripheral axonal neuropathies (CMT2). Demyelinating neuropathies are characterized by severely reduced nerve conduction velocities (less than 38 m/sec), segmental demyelination and remyelination with onion bulb formations on nerve biopsy, slowly progressive distal muscle atrophy and weakness, absent deep tendon reflexes, and hollow feet. By convention autosomal recessive forms of demyelinating Charcot-Marie-Tooth disease are designated CMT4. The disease is caused by variants affecting the gene represented in this entry.

Domain organisation. The coiled-coil domain mediates homodimerization. Also mediates interaction with SBF1/MTMR5. By mediating MTMR2 homodimerization, indirectly involved in SBF2/MTMR13 and MTMR2 heterotetramerization. The GRAM domain mediates binding to phosphatidylinositol 4-phosphate, phosphatidylinositol 5-phosphate, phosphatidylinositol 3,5-bisphosphate and phosphatidylinositol 3,4,5-trisphosphate.

Similarity. Belongs to the protein-tyrosine phosphatase family. Non-receptor class myotubularin subfamily.

Isoforms (2)

UniProt IDNamesCanonical?
Q13614-11yes
Q13614-22

RefSeq proteins (4): NP_001230500, NP_057240, NP_958435, NP_958438 (=MANE)

Domains & families (InterPro)

IDNameType
IPR000387Tyr_Pase_domDomain
IPR003595Tyr_Pase_catDomain
IPR004182GRAMDomain
IPR010569Myotubularin-like_Pase_domDomain
IPR011993PH-like_dom_sfHomologous_superfamily
IPR016130Tyr_Pase_ASActive_site
IPR029021Prot-tyrosine_phosphatase-likeHomologous_superfamily
IPR030564MyotubularinFamily

Pfam: PF02893, PF06602

Enzyme classification (BRENDA):

  • EC 3.1.3.64 — phosphatidylinositol-3-phosphatase (BRENDA: 10 organisms, 32 substrates, 7 inhibitors, 2 Km, 0 kcat entries)
  • EC 3.1.3.95 — phosphatidylinositol-3,5-bisphosphate 3-phosphatase (BRENDA: 2 organisms, 16 substrates, 1 inhibitors, 0 Km, 0 kcat entries)

Substrate kinetics (BRENDA)

1 substrates with measured Km, best-characterized 1. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
INOSITOL 1,3-BISPHOSPHATE0.0008–0.00372

Catalyzed reactions (Rhea), 4 shown:

  • a 1,2-diacyl-sn-glycero-3-phospho-(1D-myo-inositol-3-phosphate) + H2O = a 1,2-diacyl-sn-glycero-3-phospho-(1D-myo-inositol) + phosphate (RHEA:12316)
  • a 1,2-diacyl-sn-glycero-3-phospho-(1D-myo-inositol-3,5-bisphosphate) + H2O = a 1,2-diacyl-sn-glycero-3-phospho-(1D-myo-inositol-5-phosphate) + phosphate (RHEA:39019)
  • 1,2-dioctanoyl-sn-glycero-3-phospho-(1-D-myo-inositol-3-phosphate) + H2O = 1,2-dioctanoyl-sn-glycero-3-phospho-(1D-myo-inositol) + phosphate (RHEA:42328)
  • 1,2-dioctanoyl-sn-glycero-3-phospho-(1D-myo-inositol-3,5-bisphosphate) + H2O = 1,2-dioctanoyl-sn-glycero-3-phospho-(1D-myo-inositol-5-phosphate) + phosphate (RHEA:45632)

UniProt features (104 total): helix 25, binding site 21, strand 20, turn 12, mutagenesis site 7, compositionally biased region 5, modified residue 3, sequence variant 3, domain 2, region of interest 2, chain 1, active site 1, splice variant 1, coiled-coil region 1

Structure

Experimental structures (PDB)

5 structures.

PDBMethodResolution (Å)
1ZSQX-RAY DIFFRACTION1.82
1ZVRX-RAY DIFFRACTION1.98
1LW3X-RAY DIFFRACTION2.3
1M7RX-RAY DIFFRACTION2.6
5GNHX-RAY DIFFRACTION2.6

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q13614-F189.440.81

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (1): 417 (phosphocysteine intermediate)

Ligand- & substrate-binding residues (21): 330; 330; 355; 355; 356; 356; 418; 418; 419; 419; 420; 420

Post-translational modifications (3): 6, 9, 58

Mutagenesis-validated functional residues (7):

PositionPhenotype
330decreased phosphatidylinositol-3,5-bisphosphate 3-phosphatase activity. decreased phosphatidylinositol-3-phosphate phosp
357decreased phosphatidylinositol-3,5-bisphosphate 3-phosphatase activity. decreased phosphatidylinositol-3-phosphate phosp
417loss of phosphatidylinositol-3,5-bisphosphate 3-phosphatase activity. loss of phosphatidylinositol-3-phosphate phosphata
419no effect on phosphatidylinositol-3,5-bisphosphate 3-phosphatase activity. decreased phosphatidylinositol-3-phosphate ph
422loss of phosphatidylinositol-3,5-bisphosphate 3-phosphatase activity. loss of phosphatidylinositol-3-phosphate phosphata
589–643loss of homodimerization. loss of interaction with sbf1.
607decreased homodimerization. decreased interaction with sbf1.

Function

Pathways and Gene Ontology

Reactome pathways

8 pathways

IDPathway
R-HSA-1483248Synthesis of PIPs at the ER membrane
R-HSA-1660499Synthesis of PIPs at the plasma membrane
R-HSA-1660516Synthesis of PIPs at the early endosome membrane
R-HSA-1660517Synthesis of PIPs at the late endosome membrane
R-HSA-1430728Metabolism
R-HSA-1483255PI Metabolism
R-HSA-1483257Phospholipid metabolism
R-HSA-556833Metabolism of lipids

MSigDB gene sets: 298 (showing top): GOBP_LIPID_MODIFICATION, GCM_MAP4K4, GOBP_PHOSPHOLIPID_METABOLIC_PROCESS, GOBP_PHOSPHATIDYLINOSITOL_METABOLIC_PROCESS, GOCC_VACUOLAR_MEMBRANE, GOBP_PHOSPHOLIPID_DEPHOSPHORYLATION, ASTON_MAJOR_DEPRESSIVE_DISORDER_DN, GRAESSMANN_APOPTOSIS_BY_DOXORUBICIN_DN, GRAESSMANN_RESPONSE_TO_MC_AND_DOXORUBICIN_DN, GOBP_MACROMOLECULE_CATABOLIC_PROCESS, GOBP_NEGATIVE_REGULATION_OF_NERVOUS_SYSTEM_PROCESS, GOBP_NEGATIVE_REGULATION_OF_ENDOCYTOSIS, GOBP_CELLULAR_COMPONENT_MAINTENANCE, GOBP_NEUROGENESIS, GOBP_ORGANOPHOSPHATE_METABOLIC_PROCESS

GO Biological Process (16): negative regulation of receptor internalization (GO:0002091), phosphatidylinositol biosynthetic process (GO:0006661), negative regulation of myelination (GO:0031642), myelin assembly (GO:0032288), negative regulation of endocytosis (GO:0045806), phosphatidylinositol dephosphorylation (GO:0046856), neuron development (GO:0048666), regulation of phosphatidylinositol dephosphorylation (GO:0060304), negative regulation of excitatory postsynaptic potential (GO:0090394), dendritic spine maintenance (GO:0097062), positive regulation of early endosome to late endosome transport (GO:2000643), negative regulation of receptor catabolic process (GO:2000645), lipid metabolic process (GO:0006629), dephosphorylation (GO:0016311), myelination (GO:0042552), phosphatidylinositol metabolic process (GO:0046488)

GO Molecular Function (6): phosphatidylinositol-3-phosphate phosphatase activity (GO:0004438), identical protein binding (GO:0042802), phosphatidylinositol-3,5-bisphosphate 3-phosphatase activity (GO:0052629), protein binding (GO:0005515), hydrolase activity (GO:0016787), phosphatidylinositol phosphate phosphatase activity (GO:0052866)

GO Cellular Component (18): nucleus (GO:0005634), cytoplasm (GO:0005737), vacuolar membrane (GO:0005774), cytosol (GO:0005829), synaptic vesicle (GO:0008021), postsynaptic density (GO:0014069), membrane (GO:0016020), axon (GO:0030424), dendrite (GO:0030425), early endosome membrane (GO:0031901), dendritic spine (GO:0043197), perinuclear region of cytoplasm (GO:0048471), extracellular exosome (GO:0070062), synaptic membrane (GO:0097060), endosome (GO:0005768), endosome membrane (GO:0010008), endomembrane system (GO:0012505), cell projection (GO:0042995)

Reactome top-level categories

Rollup of top-4 pathways:

CategoryPathways
PI Metabolism4
Phospholipid metabolism1
Metabolism of lipids1
Metabolism1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure6
phosphatidylinositol metabolic process2
myelination2
vacuole2
bounding membrane of organelle2
cytoplasm2
neuron projection2
regulation of receptor internalization1
receptor internalization1
negative regulation of receptor-mediated endocytosis1
biosynthetic process1
regulation of myelination1
negative regulation of nervous system process1
negative regulation of cellular process1
cellular component assembly involved in morphogenesis1
endocytosis1
regulation of endocytosis1
negative regulation of transport1
negative regulation of cellular component organization1
phospholipid dephosphorylation1
neuron differentiation1
cell development1
regulation of lipid metabolic process1
regulation of dephosphorylation1
phosphatidylinositol dephosphorylation1
regulation of phosphorus metabolic process1
regulation of macromolecule metabolic process1
negative regulation of biological process1
excitatory postsynaptic potential1
modulation of excitatory postsynaptic potential1
cellular component maintenance1
dendritic spine organization1
positive regulation of intracellular transport1
early endosome to late endosome transport1
regulation of early endosome to late endosome transport1
negative regulation of catabolic process1
negative regulation of macromolecule metabolic process1
receptor catabolic process1
regulation of receptor catabolic process1
primary metabolic process1

Protein interactions and networks

STRING

980 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
MTMR2SBF2Q86WG5919
MTMR2NEFLP07196873
MTMR2TPTE2Q6XPS3861
MTMR2DLG4P78352848
MTMR2PIK3C3Q8NEB9810
MTMR2PRXQ9BXM0799
MTMR2SH3TC2Q8TF17779
MTMR2FIG4Q92562771
MTMR2SBF1O95248771
MTMR2GJB1P08034749
MTMR2PMP22Q01453723
MTMR2GDAP1Q8TB36720
MTMR2FGD4Q96M96709
MTMR2MPZL1O95297685
MTMR2MADDQ8WXG6625

IntAct

32 interactions, top by confidence:

ABTypeScore
CCDC22VPS26Cpsi-mi:“MI:0914”(association)0.790
MTMR2CCDC22psi-mi:“MI:0914”(association)0.730
MTMR12MTMR2psi-mi:“MI:0407”(direct interaction)0.690
CCDC22ZWINTpsi-mi:“MI:0914”(association)0.530
MTMR1GMNNpsi-mi:“MI:0914”(association)0.530
MTMR9CENPFpsi-mi:“MI:0914”(association)0.530
MTMR2NEFLpsi-mi:“MI:0915”(physical association)0.510
SBF2SBF1psi-mi:“MI:0914”(association)0.420
MTMR2ERBB4psi-mi:“MI:0915”(physical association)0.370
MTMR2ERBB3psi-mi:“MI:0915”(physical association)0.370
MTMR2ROR2psi-mi:“MI:0915”(physical association)0.370
Mpsi-mi:“MI:0914”(association)0.350
MTMR11IRS4psi-mi:“MI:0914”(association)0.350
MTMR9DSPpsi-mi:“MI:0914”(association)0.350
SBF1COL1A2psi-mi:“MI:0914”(association)0.350
MTMR2LUC7L3psi-mi:“MI:0914”(association)0.350
S100A2PLEKHG3psi-mi:“MI:0914”(association)0.350
SCHIP1VWA8psi-mi:“MI:0914”(association)0.350
MTRF1MEIS1psi-mi:“MI:0914”(association)0.350
SBF2PMPCBpsi-mi:“MI:2364”(proximity)0.270
DISC1MTMR2psi-mi:“MI:0915”(physical association)0.000
CASS4MTMR2psi-mi:“MI:0915”(physical association)0.000
tcaA1MTMR2psi-mi:“MI:0915”(physical association)0.000
MTMR2psi-mi:“MI:0915”(physical association)0.000
metQMTMR2psi-mi:“MI:0915”(physical association)0.000

BioGRID (109): MTMR2 (Affinity Capture-RNA), MTMR2 (Affinity Capture-MS), CCDC22 (Affinity Capture-MS), MTMR1 (Affinity Capture-MS), MTMR10 (Affinity Capture-MS), MTMR12 (Affinity Capture-MS), NFKB1 (Affinity Capture-MS), SBF1 (Affinity Capture-MS), SBF2 (Affinity Capture-MS), TUBA1B (Affinity Capture-MS), MTMR2 (Affinity Capture-MS), MTMR2 (Affinity Capture-MS), MTMR2 (Affinity Capture-MS), MTMR2 (Proximity Label-MS), MTMR2 (Affinity Capture-MS)

ESM2 similar proteins: A0JMK5, A6QLT2, A6QQZ7, O08586, O43242, O43795, O54857, O55236, O60733, O60942, P11029, P11497, P14685, P23727, P26450, P27986, P29074, P46735, P60483, P60484, P97570, P97819, Q05096, Q13085, Q13613, Q13614, Q15139, Q28559, Q2KJ46, Q52KU6, Q5BJZ6, Q5EB32, Q5F452, Q5R685, Q5R6F6, Q5R8Q7, Q5REB9, Q5SWU9, Q5T2T1, Q5U2Y3

Diamond homologs: A0A0G2JXT6, A0JMK5, A2BGG1, A4FU01, A6QLT2, A6QLT4, A7MB43, E9PXF8, F4J3T8, F4JWB3, G5ED68, O13819, P47147, Q13496, Q13613, Q13614, Q13615, Q22712, Q2KJ24, Q3V1L6, Q52KU6, Q54GQ1, Q55E58, Q5EB32, Q5F452, Q5PQT2, Q5R6F6, Q5R9S3, Q5REB9, Q5U581, Q5ZIV1, Q6AXQ4, Q6NTN5, Q6NU08, Q6TEL0, Q7TPM9, Q7ZXF1, Q80TA6, Q8K296, Q8VE11

SIGNOR signaling

3 interactions.

AEffectBMechanism
MTMR2“down-regulates quantity”“1-phosphatidyl-1D-myo-inositol 3-phosphate(3-)”“chemical modification”
MTMR2“up-regulates quantity”1-phosphatidyl-1D-myo-inositol(1-)“chemical modification”
SBF1“up-regulates activity”MTMR2binding

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 32 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
PI Metabolism585.0×4e-07
Phospholipid metabolism547.7×4e-06
Metabolism of lipids69.0×2e-03

Disease & clinical

Clinical variants and AI predictions

ClinVar

682 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic34
Likely pathogenic25
Uncertain significance288
Likely benign231
Benign51

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1069360NM_016156.6(MTMR2):c.1318C>T (p.Arg440Ter)Pathogenic
1070808NM_016156.6(MTMR2):c.1459_1460del (p.Val487fs)Pathogenic
1803781NM_016156.6(MTMR2):c.304C>T (p.Arg102Ter)Pathogenic
2038889NM_016156.6(MTMR2):c.928_929insTGATATTTACTGAGTACAGTAA (p.Asn310fs)Pathogenic
216114NM_016156.6(MTMR2):c.1034del (p.Asn345fs)Pathogenic
2190463NM_016156.6(MTMR2):c.484C>T (p.Arg162Ter)Pathogenic
241077NM_016156.6(MTMR2):c.832C>T (p.Gln278Ter)Pathogenic
2637502NM_016156.6(MTMR2):c.1096del (p.Lys367fs)Pathogenic
2819176NM_016156.6(MTMR2):c.579dup (p.Ala194fs)Pathogenic
2839875NM_016156.6(MTMR2):c.947dup (p.Phe317fs)Pathogenic
3011357NM_016156.6(MTMR2):c.37C>T (p.Gln13Ter)Pathogenic
3244697NC_000011.9:g.(?95568454)(95657118_?)delPathogenic
3658204NM_016156.6(MTMR2):c.1693del (p.Tyr565fs)Pathogenic
3659428NM_016156.6(MTMR2):c.934C>T (p.Gln312Ter)Pathogenic
3666754NM_016156.6(MTMR2):c.1474A>T (p.Arg492Ter)Pathogenic
406679NM_016156.6(MTMR2):c.1537_1538dup (p.Ser514fs)Pathogenic
543342NM_016156.6(MTMR2):c.464_465del (p.Val154_Cys155insTer)Pathogenic
549685NM_016156.6(MTMR2):c.1164G>A (p.Trp388Ter)Pathogenic
6231NM_016156.6(MTMR2):c.1276C>T (p.Gln426Ter)Pathogenic
6233NM_016156.6(MTMR2):c.826G>T (p.Glu276Ter)Pathogenic
623390NM_016156.6(MTMR2):c.1768C>T (p.Gln590Ter)Pathogenic
6234NM_016156.6(MTMR2):c.1444C>T (p.Gln482Ter)Pathogenic
637472NM_016156.6(MTMR2):c.1593+1G>APathogenic
646293NM_016156.6(MTMR2):c.454_458del (p.Glu152fs)Pathogenic
647003NM_016156.6(MTMR2):c.1454_1457del (p.Asp485fs)Pathogenic
684408NM_016156.6(MTMR2):c.1490dup (p.Phe498fs)Pathogenic
684409NM_016156.6(MTMR2):c.1479+1G>APathogenic
684410NM_016156.6(MTMR2):c.1090C>T (p.Arg364Ter)Pathogenic
684411NM_016156.6(MTMR2):c.883C>T (p.Arg295Ter)Pathogenic
859440NM_016156.6(MTMR2):c.874del (p.Ser292fs)Pathogenic

SpliceAI

3358 predictions. Top by Δscore:

VariantEffectΔscore
11:95827784:A:AGacceptor_gain1.0000
11:95827785:G:GAacceptor_gain1.0000
11:95828024:GCTT:Gdonor_gain1.0000
11:95828028:G:GGdonor_gain1.0000
11:95829181:A:AGacceptor_gain1.0000
11:95829182:T:Gacceptor_gain1.0000
11:95829182:TATA:Tacceptor_loss1.0000
11:95829183:A:AGacceptor_gain1.0000
11:95829183:ATAGT:Aacceptor_gain1.0000
11:95829184:T:Gacceptor_gain1.0000
11:95829185:A:AGacceptor_gain1.0000
11:95829185:AGT:Aacceptor_gain1.0000
11:95829185:AGTG:Aacceptor_loss1.0000
11:95829186:G:GTacceptor_gain1.0000
11:95829186:GT:Gacceptor_gain1.0000
11:95829186:GTG:Gacceptor_gain1.0000
11:95829186:GTGA:Gacceptor_gain1.0000
11:95829186:GTGAT:Gacceptor_gain1.0000
11:95829327:CCCAG:Cdonor_loss1.0000
11:95829328:CCAG:Cdonor_loss1.0000
11:95829329:CAG:Cdonor_loss1.0000
11:95829330:AGGT:Adonor_loss1.0000
11:95829331:GG:Gdonor_loss1.0000
11:95829333:T:Adonor_loss1.0000
11:95831005:T:TAacceptor_gain1.0000
11:95831010:T:TAacceptor_gain1.0000
11:95831011:G:Aacceptor_gain1.0000
11:95831015:ATTT:Aacceptor_gain1.0000
11:95831018:T:Aacceptor_gain1.0000
11:95831023:TAGCT:Tacceptor_loss1.0000

AlphaMissense

4207 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
11:95845078:A:GW421R1.000
11:95845078:A:TW421R1.000
11:95845080:C:AG420V1.000
11:95845080:C:TG420D1.000
11:95845081:C:GG420R1.000
11:95845085:A:CS418R1.000
11:95845085:A:TS418R1.000
11:95845087:T:GS418R1.000
11:95845088:G:CC417W1.000
11:95845089:C:TC417Y1.000
11:95845090:A:GC417R1.000
11:95847731:A:GW388R1.000
11:95847731:A:TW388R1.000
11:95847824:G:CH357D1.000
11:95847828:A:CN355K1.000
11:95847828:A:TN355K1.000
11:95849681:G:TA329D1.000
11:95849687:G:TA327D1.000
11:95849705:G:TA321D1.000
11:95849772:C:GD299H1.000
11:95849807:G:TP287H1.000
11:95850618:T:AR262S1.000
11:95850618:T:GR262S1.000
11:95850619:C:AR262I1.000
11:95850619:C:GR262T1.000
11:95850731:A:GW225R1.000
11:95850731:A:TW225R1.000
11:95858613:A:GF163S1.000
11:95862321:C:TG103E1.000
11:95862322:C:GG103R1.000

dbSNP variants (sampled 300 via entrez): RS1000064185 (11:95924321 G>A), RS1000075635 (11:95865254 C>T), RS1000086525 (11:95924415 G>C), RS1000096018 (11:95878730 C>T), RS1000126044 (11:95899267 C>G), RS1000134942 (11:95924479 A>G), RS1000159667 (11:95849273 G>A), RS1000183960 (11:95839855 G>A,C), RS1000262258 (11:95891019 T>C), RS1000299248 (11:95872112 T>A,C), RS1000309032 (11:95885562 G>A), RS1000329838 (11:95892388 C>T), RS1000331186 (11:95877908 G>A,T), RS1000350233 (11:95842309 T>C), RS1000372546 (11:95834327 C>A,T)

Disease associations

OMIM: gene MIM:603557 | disease phenotypes: MIM:601382, MIM:118220

GenCC curated gene-disease

DiseaseClassificationInheritance
demyelinating hereditary motor and sensory neuropathyDefinitiveAutosomal recessive
Charcot-Marie-Tooth disease type 4B1StrongAutosomal recessive

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
demyelinating hereditary motor and sensory neuropathyDefinitiveAR

Mondo (4): Charcot-Marie-Tooth disease type 4 (MONDO:0018995), Charcot-Marie-Tooth disease type 4B1 (MONDO:0011066), Charcot-Marie-Tooth disease (MONDO:0015626), demyelinating hereditary motor and sensory neuropathy (MONDO:0018776)

Orphanet (3): Charcot-Marie-Tooth disease type 4 (Orphanet:64749), Charcot-Marie-Tooth disease type 4B1 (Orphanet:99955), Charcot-Marie-Tooth disease/Hereditary motor and sensory neuropathy (Orphanet:166)

HPO phenotypes

13 total (13 of 13 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0001270Motor delay
HP:0001762Talipes equinovarus
HP:0002460Distal muscle weakness
HP:0002650Scoliosis
HP:0002936Distal sensory impairment
HP:0003431Decreased motor nerve conduction velocity
HP:0003693Distal amyotrophy
HP:0003701Proximal muscle weakness
HP:0004336Myelin outfoldings
HP:0006958Abnormal auditory evoked potentials
HP:0007208Irregular myelin loops
HP:0010628Facial palsy

GWAS associations

6 associations (top):

StudyTraitp-value
GCST008161_29Waist circumference adjusted for body mass index1.000000e-06
GCST009615_13Triglyceride levels x loop diuretics use interaction1.000000e-06
GCST011534_2Sun-seeking behavior4.000000e-09
GCST90000025_173Appendicular lean mass5.000000e-15
GCST90002390_40Mean corpuscular hemoglobin6.000000e-14
GCST90002404_523Red cell distribution width1.000000e-20

EFO canonical traits (6, from GWAS)

EFO IDTrait name
EFO:0007789BMI-adjusted waist circumference
EFO:0004530triglyceride measurement
EFO:0010729sun exposure measurement
EFO:0004980appendicular lean mass
EFO:0004527mean corpuscular hemoglobin
EFO:0009188Red cell distribution width

MeSH disease descriptors (2)

DescriptorNameTree numbers
D002607Charcot-Marie-Tooth DiseaseC10.500.300.200; C10.574.500.495.200; C10.668.829.800.300.200; C16.131.666.300.200; C16.320.400.375.200
C535420Charcot-Marie-Tooth disease, Type 4B1 (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

37 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Valproic Acidaffects cotreatment, decreases expression, affects expression4
(+)-JQ1 compounddecreases expression2
Cyclosporineincreases expression2
aristolochic acid Idecreases expression1
TAK-243decreases sumoylation1
triphenyl phosphateaffects expression1
beta-lapachonedecreases expression, increases expression1
arseniteaffects binding, decreases reaction1
sodium arseniteincreases expression1
butyraldehydedecreases expression1
coumarinincreases phosphorylation1
1-nitropyreneincreases expression1
di-n-butylphosphoric acidaffects expression1
perfluorooctane sulfonic aciddecreases expression1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, decreases expression1
dorsomorphinaffects cotreatment, decreases expression1
jinfukangdecreases expression1
Arsenic Trioxidedecreases expression1
Air Pollutantsaffects expression, increases abundance, decreases methylation1
Caffeineaffects phosphorylation1
Camptothecindecreases response to substance1
Dichlorodiphenyl Dichloroethylenedecreases expression1
Doxorubicindecreases expression1
Drugs, Chinese Herbalincreases expression1
Ivermectindecreases expression1
Ketoconazoledecreases expression1
Naledaffects expression1
Naphthoquinonesincreases expression1
Nitrogen Oxidesaffects expression, increases abundance, decreases methylation1
Rotenoneincreases expression1

Cellosaurus cell lines

3 cell lines: 3 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_B1XVAbcam HeLa MTMR2 KOCancer cell lineFemale
CVCL_SZ27HAP1 MTMR2 (-) 1Cancer cell lineMale
CVCL_SZ28HAP1 MTMR2 (-) 2Cancer cell lineMale

Clinical trials (associated diseases)

59 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT04762758PHASE3UNKNOWNPhase III Trial Assessing the Efficacy and Safety of PXT3003 in CMT1A Patients
NCT00271635PHASE2COMPLETEDAscorbic Acid Treatment in CMT1A Trial (AATIC)
NCT01401257PHASE2COMPLETEDPhase II, Randomized, Placebo-controlled Trial in Patients With Charcot-marie-tooth Disease Type 1A
NCT02561702PHASE2COMPLETEDMexiletine for Muscle Cramps in Charcot Marie Tooth Disease
NCT02967679PHASE2COMPLETEDSERENDEM : MD1003 in Patients Suffering From Demyelinating Neuropathies, an Open Label Pilot Study
NCT03124459PHASE2TERMINATEDStudy of ACE-083 in Patients With Charcot-Marie-Tooth Disease
NCT03254199PHASE2TERMINATEDA Study to Assess the Safety and Effectiveness of FLX-787 in Subjects With Charcot-Marie-Tooth Disease Experiencing Muscle Cramps.
NCT03943290PHASE2TERMINATEDExtension Study to Evaluate the Long-Term Effects of ACE-083 in Patients With Facioscapulohumeral Muscular Dystrophy (FSHD) and Charcot-Marie Tooth (CMT) Disease Types 1 and X (CMT1 and CMTX)
NCT05777226PHASE2UNKNOWNResearch of SORD-CMT Natural History and Epalrestat Treatment
NCT06482437PHASE2COMPLETEDSafety and Efficacy of NMD670 in Adult Patients With Type 1 and Type 2 Charcot-Marie-Tooth Disease
NCT05902351Not specifiedRECRUITINGNatural History Study for Charcot Marie Tooth Disease
NCT01289704PHASE2/PHASE3UNKNOWNTreadmill, Stretching and Proprioceptive Exercise (TreSPE) Rehabilitation Program for Charcot-Marie-Tooth Neuropathy Type 1A (CMT1A)
NCT00541164PHASE1/PHASE2COMPLETEDEffects of Coenzyme Q10 on Charcot-Marie-Tooth Disease
NCT05361031PHASE1/PHASE2COMPLETEDThe Safety and Tolerability of Engensis (VM202) in Patients With Charcot-Marie-Tooth Disease Subtype 1A (CMT1A)
NCT07223632PHASE1/PHASE2ACTIVE_NOT_RECRUITINGTreatment of Charcot-Marie-Tooth Disease, Axonal, Type 2S (CMT2S) in an Individual Patient
NCT00149045Not specifiedCOMPLETEDFollow up and Observation of Charcot Marie Tooth Disease in Families
NCT01193075Not specifiedRECRUITINGNatural History Evaluation of Charcot Marie Tooth Disease (CMT) Types CMT1B, CMT2A, CMT4A, CMT4C, and Others
NCT01203085Not specifiedCOMPLETEDDevelopment of Charcot Marie Tooth Disease (CMT) Pediatric Scale for Children With CMT
NCT01455623Not specifiedCOMPLETEDDevelopment and Validation of a Disability Severity Index for CMT
NCT01918826Not specifiedUNKNOWNEvaluation of the Analgesic Efficiency of the Transcutaneous Neurostimulation in the Charcot Syndrome Marie Tooth on the Pains of Lower Limbs
NCT02001038Not specifiedCOMPLETEDSurvey of Current Management of Orthopaedic Complications in CMT Patients
NCT02011204Not specifiedCOMPLETEDStudy of Electrical Impedance Myography (EIM) in ALS
NCT02194010Not specifiedCOMPLETEDDisability Severity Scale (DSI) and Hereditary Motor and Sensory Neuropathy Overall Disability Scale (HMSN-R-ODS)
NCT02429947Not specifiedCOMPLETEDAn Analysis of the Symptomatic Domains Most Relevant to Charcot Marie Tooth Neuropathy (CMT) Patients
NCT02532244Not specifiedCOMPLETEDGenetics of Pediatric-Onset Motor Neuron and Neuromuscular Diseases
NCT02699190Not specifiedCOMPLETEDLeukoSEQ: Whole Genome Sequencing as a First-Line Diagnostic Tool for Leukodystrophies
NCT02788734Not specifiedCOMPLETEDPatient Reported Outcomes Measures (PROM) in Carpal Tunnel Therapies in Patients With Inherited Neuropathies
NCT02979145Not specifiedUNKNOWNCharcot-Marie-Tooth Disease (CMT) Infant Scale (INC-6611)
NCT03047369Not specifiedRECRUITINGThe Myelin Disorders Biorepository Project
NCT03460951Not specifiedCOMPLETEDDiffusion Tensor Imaging in Chronic Inflammatory Demyelinating Polyneuropathy (PIDC)
NCT03715283Not specifiedCOMPLETEDChange in MUNIX in Patients With CMT1A Undergoing a Home Ankle Strengthening Program Versus Standard of Care
NCT03782883Not specifiedCOMPLETEDThe Impact of Charcot-Marie-Tooth Disease in the Real World
NCT03810508Not specifiedTERMINATEDA Natural History Study of Charcot-Marie-Tooth 4J (CMT4J)
NCT03966287Not specifiedCOMPLETEDAnalysis of Pain and Quality of Life in Patients With Charcot-Marie-Tooth Neuropathy (CMT)
NCT04010188Not specifiedRECRUITINGA Registered Cohort Study on Charcot-Marie-Tooth Disease
NCT04283175Not specifiedCOMPLETEDValidation Study of Posturology Platforms for Evaluating Postural Control of Hemiparetic and Neuro-muscular Patients
NCT04461613Not specifiedUNKNOWNPhysical Activity in Persons With Charcot-Marie-Tooth: Developing a Measurement Instrument
NCT04786522Not specifiedCOMPLETEDIrisin Levels in Patients With Charcot-Marie-Tooth (CMT) Disease
NCT04967716Not specifiedUNKNOWNGenetics of Charcot-Marie-Tooth Dystrophy and Related Diseases
NCT04980807Not specifiedCOMPLETEDObservational Study of Neuromuscular Function in CMT Type 1&2 and Healthy Controls